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JAN-20-2012 11:11 Serte Station Systems 408 938 8888 P.10 Monitoring System Certification-Page,3 of 3 Site Address: 3725 N.Tracy Blvd. R _ Date of Testing/Servicing: 1/5/12 F. In-Tank Gauging/SIR Equipment: Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging;or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perforce leak detection monitoring. Complete the following checklist: ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspceted for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? j ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ Nos Were all items on the equipment manufacturers maintenance chccklist pleted? * in Section H below,describe how and when these deficiencies were or will be co Ctcd. G. Line Leah Detectors(LLD): Check thi ox if LLD's are not installed. Complete the followingchecklist; ❑ Yes ❑ No* For equipment start-up or annual equipment 'frcation was a leak simulated to verify LLD performance? ❑ N/A (CheckalJ that apply) Simulated teak r ❑ 3 g.p.h.(1.); 13Q.1 g.p.h.(2.); la 0.2 g.p.h.(2J. Notes: 1. Required for equipmer tart-up certification and annual certification. 2. Unless mandated b oeal agency,certification required only for electronic LLD start-11E. ❑ Yes ❑ No* Were all LLD's confirmed 914rational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing appara , properly calibrated? ❑ Yes ❑ No* For mechanical T, s,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes Cl No* Fare rc LLD's,docs the turbine automatically shut off if the LLD detects a leak? ❑ N/A ❑ Yes ❑ No* F electronic LLD's,docs the turbine automatically shut off i f any portion of the monitoring system is disabled ❑ N/A or disconnected? ❑ Ycs Q For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system P-KA malfunctions or fails a test? z fi No* For electronic LLD's,have all accessible wiring connections been visually inspected? Q N/A ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In Section H below,describe how and when these deficiencies were or will be corrected, H. Comments: TLM's& LLD's are monitored by'Veeder hoot. TOTAL P.10